Childhood Injury Prevention Counseling in Primary Care Settings: A Critical Review of the Literature
1 The American Academy of Pediatrics, Elk Grove Village, IL
2 Departments of Pediatrics and Community Health & Preventive Medicine, Northwestern University Medical School, Chicago, IL
3 Department of Pediatrics, Pennsylvania State University College of Medicine, Hershey
4 Dartmouth-Hitchcock Medical Center, Lebanon, NH
5 Department of General Pediatric Medicine, Children's National Medical Center, Washington, DC
6 City of Winnipeg Health Department and Department of Community Health Sciences and Pediatrics, University of Manitoba, Winnipeg, Canada
7 Department of Pediatrics, University of Massachusetts Medical Center, Worcester.
Objectives. The American Academy of Pediatrics (AAP) believes that health education, through office-based counseling, can contribute to childhood injury prevention. This report presents the results of a critical review of the scientific literature on the effectiveness of primary care-based counseling to prevent childhood unintentional injury.
Methods. A panel selected from the AAP Committee and the AAP Section on Injury and Poison Prevention searched the English-language scientific literature for all articles about childhood unintentional injury prevention counseling. A standardized format was developed to record data on each study. Two members of the panel independently reviewed each article. Articles that were original reports and in which unintentional injury prevention counseling took place in a primary care setting were included. Articles were encoded and analyzed by computer and then grouped by quality of evidence using the US Preventive Services Task Force (USPSTF) method of categorizing results of medical care evaluation. Articles were rated by strength of study design in order to compare studies within each USPSTF group.
Results. Twenty articles met the criteria for inclusion. Of these, 18 showed positive effects of injury prevention counseling including five randomized/controlled, 10 non-randomized/controlled, two multiple time series, and one descriptive study. In 15 of the positive studies, physicians performed the counseling. Positive outcomes as measured by increased knowledge, improved behavior, or decreased injury occurrence were reported for both motor vehicle and non-motor vehicle injuries.
Conclusions. The literature review supports the recommendation of the AAP to include injury prevention counseling as part of routine health supervision. This recommendation has implications for health care reimbursement and care content.
Key Words: injury prevention • counseling • primary care • health supervision
Submitted on November 30, 1992
Accepted on April 1, 1993
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|
|
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|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
L. R Cohen and C. W Runyan Barriers to pediatric injury prevention counseling Inj. Prev., March 1, 1999; 5(1): 36 - 40. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J Oatis, N. M F. Buderer, P. Cummings, and R. Fleitz Pediatric practice based evaluation of the Steps to Prevent Firearm Injury program Inj. Prev., March 1, 1999; 5(1): 48 - 52. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Barkin, G. Ryan, and L. Gelberg What pediatricians can do to further youth violence prevention--a qualitative study Inj. Prev., March 1, 1999; 5(1): 53 - 58. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Task Force on Violence The Role of the Pediatrician in Youth Violence Prevention in Clinical Practice and at the Community Level Pediatrics, January 1, 1999; 103(1): 173 - 181. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Harre, J. Field, and A. Polzer-Debruyne New Zealand children's involvement in home activities that carry a burn or scald risk Inj. Prev., December 1, 1998; 4(4): 266 - 271. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Towner and H. Ward Prevention of injuries to children and young people: the way ahead for the UK Inj. Prev., December 1, 1998; 4(90001): S17 - 25. [Full Text] [PDF]
|
|
|
|
|
|
E. Towner, Y. Carter, and M. Hayes Implementation of injury prevention for children and young people Inj. Prev., December 1, 1998; 4(90001): S26 - 33. [Full Text] [PDF]
|
|
|
|
|
|
K. P. Quinlan, J. J. Sacks, and M.-j. Kresnow Exposure to and Compliance With Pediatric Injury Prevention Counseling---United States, 1994 Pediatrics, November 1, 1998; 102(5): e55 - 55. [Abstract] [Full Text]
|
|
|
|
|
|
S. Barkin, N. Duan, A. Fink, R. H. Brook, and L. Gelberg The Smoking Gun: Do Clinicians Follow Guidelines on Firearm Safety Counseling? Arch Pediatr Adolesc Med, August 1, 1998; 152(8): 749 - 756. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. C. Geller, J. Robinson, S. Silverman, S. A. Wyatt, D. Shifrin, and H. K. Koh Do Pediatricians Counsel Families About Sun Protection?: A Massachusetts Survey Arch Pediatr Adolesc Med, April 1, 1998; 152(4): 372 - 376. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. R Underwood and Y. H Carter Randomised controlled trials in general practice: time for international collaboration Inj. Prev., March 1, 1998; 4(1): 6 - 8. [Full Text] [PDF]
|
|
|
|
|
|
L. R. Cohen, C. W. Runyan, and J. M. Bowling Social Determinants of Pediatric Residents' Injury Prevention Counseling Arch Pediatr Adolesc Med, February 1, 1998; 152(2): 169 - 175. [Abstract] [Full Text] [PDF]
|
|